Provider Demographics
NPI:1043931108
Name:CATERPILLAR COUNSELING LLC
Entity Type:Organization
Organization Name:CATERPILLAR COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:772-233-9231
Mailing Address - Street 1:3801 SW KOBER RD
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-3908
Mailing Address - Country:US
Mailing Address - Phone:772-446-1922
Mailing Address - Fax:
Practice Address - Street 1:901 SW MARTIN DOWNS BLVD STE 306
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-2861
Practice Address - Country:US
Practice Address - Phone:772-446-1922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty